title: Conservative approach in the treatment of renal trauma in children.
abstract: OBJECTIVE
  Our aim was to evaluate the role of a conservative approach in the treatment of renal trauma in the pediatric age group.
  
  
  METHODS
  A total of 31 pediatric patients with renal trauma (male = 25, female = 6) in whom we used a conservative approach in our clinic between the years 2002 and 2010 were included in the study. Patients were assessed according to the type of trauma, type of treatment, findings of radiological imaging, concomitant other organ injuries and complications occurring during follow-up.
  
  
  RESULTS
  Surgery was required in just 4 of 31 pediatric patients who were treated with the conservative approach. Of the patients who underwent surgery, only one child needed nephrectomy. No complications were detected in the clinical and radiological follow-up of the patients who received the conservative approach.
  
  
  CONCLUSIONS
  The main objective in the treatment of renal trauma occurring in childhood is to protect the kidneys. If the hemodynamic findings are stable, a conservative approach should be the first preferred method of treatment in every grade of renal trauma that can occur in childhood.
authors.affiliation: Yuzuncu Yil University, Faculty of Medicine, Department of Urology, Van, Turkey.
authors.forename: Necip
authors.initials: N
authors.lastname: Pirinççi
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kaba
authors.forename: İlhan
authors.initials: İ
authors.lastname: Geçit
authors.forename: Mustafa
authors.initials: M
authors.lastname: Güneş
authors.forename: Serhat
authors.initials: S
authors.lastname: Tanik
authors.forename: Kadir
authors.initials: K
authors.lastname: Ceylan
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics; D006801:Humans; D007668:Kidney / Q000293:injuries* / Q000502:physiology / Q000601:surgery*; D008297:Male; D009392:Nephrectomy; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000628:therapy*; D014949:Wounds, Nonpenetrating / Q000601:surgery